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Revista Colombiana de Cardiología
versão impressa ISSN 0120-5633
Resumo
VIVAS, Rosalba et al. Aneurysm of the pulmonary artery. A case report and literature review. Rev. Colomb. Cardiol. [online]. 2011, vol.18, n.4, pp.293-296. ISSN 0120-5633.
Pulmonary artery aneurysms are infrequent in children. Among its main causes are infectious processes such as endocarditis which favors the development of mycotic aneurysms especially in patients with congenital heart defects and in those with endovenous drug addiction (mainly in adults) that develop mycotic aneurysms. Treatment options depend on the characteristics of the lesion and the clinical condition of the patient. We present the case of a seven year old female patient who was referred for evaluation of infectious endocarditis of the tricuspid valve due to Staphylococcus aureus. She developed bilateral aneurysms in lobular branches of the pulmonary artery secondary to the valve infection. The right aneurysm was large and had a high risk of rupture, and for this reason an embolization with coils was performed. The procedure was successful and no complications were documented. Given that the left side lesion was smaller, it received an expectant management. At present, the patient has ambulatory follow-up in order to monitor the evolution of the left side aneurysm.
Palavras-chave : pulmonary artery aneurysm; mycotic aneurysm; endovascular therapy.